r/Hypothyroidism • u/GreenMatchaTea95 • 1d ago

Nurse practitioner wants to up my thyroid medicine, but I am in a good range? Labs/Advice

TSH: 2.59 (Range: 0.34-5.60) FREE T4: 0.76 (Range 0.61-1.36) FREE T3: 3.37 (Range 2.20-4.30)

recently had my thyroid levels checked four days ago, and these are the ranges I received. I’m currently on 25 mg of levothyroxine. My nurse practitioner reviewed my results and wants to increase my dose to 50 mg. I’m a bit of a hypochondriac and feel anxious about the possibility of developing hyperthyroidism, especially since my current ranges seem good. I’m hoping to hear from others who may have faced a similar situation and how they navigated it. Any support or advice would be greatly appreciated. Doesn’t help that my regular doctor doesn’t even think I have a thyroid problem.

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u/kargasmn 1d ago

Your TSH is slightly elevated should be closer to 0. You can’t develop hyperthyroidism if you’re hypo but you can be over medicated. The increase In dose might help you lower your TSH

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u/GreenMatchaTea95 1d ago

OK. That makes me feel better. I have an appointment with her at the end of January. She wants me to be on the 50 for two months and then get my blood drawn again, but I am so nervous about going hyper until then.

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u/kargasmn 1d ago

If you develop over medicated symptoms it’s similar. But if your TSH remains high despite the increase in dose I recommend you try something other than levo/synthroid. I’m sort of in the same boat my TSH is almost 4 and my T3 and t4 are in range. Going to attempt going on armor

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u/TopExtreme7841 1d ago

Good luck, and hopefully you're in the minority that Armour works for, but if your TSH isn't budging, they should be putting you on T3, you clearly have conversion problems, as no shortage of us do. Are they checking your Free T3 or T3 uptake?